<!DOCTYPE html>
<html lang="en" xmlns:th="http://www.thymeleaf.org">

<head>
    <meta charset="UTF-8">
    <title>推送理赔相关信息</title>
    <link href="/webjars/bootstrap/3.3.7/css/bootstrap.min.css" rel="stylesheet">
    <link href="/webjars/bootstrap/3.3.7/css/bootstrap-theme.min.css" rel="stylesheet">
    <script src="/webjars/jquery/3.4.1/jquery.min.js"></script>
    <script src="/webjars/bootstrap/3.3.7/js/bootstrap.min.js"></script>
    <script src="/webjars/bootstrap/3.3.7/js/bootstrap.min.js"></script>
    <!--    <script src="/webjars/bootstrap-datepicker/1.9.0/js/bootstrap-datepicker.min.js"></script>-->
    <!--    <script src="/webjars/bootstrap-datepicker/1.9.0/locales/bootstrap-datepicker.zh-CN.min.js"></script>-->
    <!--    <script src="/webjars/bootstrap-datepicker/1.9.0//css/bootstrap-datepicker.min.css" rel="stylesheet"></script>-->
    <script src="/webjars/bootstrap-datetimepicker/2.4.4/css/bootstrap-datetimepicker.min.css" ></script>
    <script src="/webjars/bootstrap-datetimepicker/2.4.4/js/bootstrap-datetimepicker.min.js" ></script>
    <script src="/webjars/bootstrap-datetimepicker/2.4.4/js/locales/bootstrap-datetimepicker.zh-CN.js" ></script>
    <style>
        .form-group{
            min-width: 46%;
        }
    </style>

</head>
<body>
<form class="" role="form" th:action="@{/claimsnotice}" th:object="${claimsNoticeDao}"  method="post">
    <div class="container" >
        <div class="row" style="padding: 20px 0">
            <h3 style="margin-left:15px">请求参数</h3>
        </div>
        <div class="row">
            <div class="form-group col-lg-3">
                <div class="input-group">
                    <span class="input-group-addon">业务流水号</span>
                    <input class="form-control" type="text" name="applyNo" id="applyNo" required>
                </div>
            </div>
            <div class="form-group col-lg-3">
                <div class="input-group">
                    <span class="input-group-addon">保函编号</span>
                    <input class="form-control" type="text"  name="baoHanNo" id="baoHanNo" required>
                </div>
            </div>
        </div>
        <div class="row">
            <div class="form-group col-lg-3">
                <div class="input-group">
                    <span class="input-group-addon">收款账号</span>
                    <input class="form-control" type="text" name="applyNo" id="payerAccount" >
                </div>
            </div>
            <div class="form-group col-lg-3">
                <div class="input-group">
                    <span class="input-group-addon">赔付金额</span>
                    <input class="form-control" type="number"  name="baoHanNo" id="payerAmount">
                </div>
            </div>
        </div>
        <div class="row">
            <div class="form-group col-lg-3">
                <div class="input-group">
                    <span class="input-group-addon">理赔文件列表</span>
                    <input class="form-control" type="text" name="applyNo" id="fileList">
                </div>
            </div>
        </div>
        <div class="row">
            <div class="form-group col-lg-3">
                <div class="input-group">
                    <span class="input-group-addon">理赔联系人</span>
                    <input class="form-control" type="text"  name="baoHanNo" id="applyUserName" required>
                </div>
            </div>
            <div class="form-group col-lg-3">
                <div class="input-group">
                    <span class="input-group-addon">理赔联系人电话</span>
                    <input class="form-control" type="text" name="applyNo" id="applyUserPhone" required>
                </div>
            </div>
        </div>
        <div class="row">
            <div class="form-group col-lg-3">
                <div class="input-group">
                    <span class="input-group-addon">理赔原因</span>
                    <input class="form-control" type="text"  name="reason" id="reason" >
                </div>
            </div>
            <div class="form-group col-lg-3">
                <div class="input-group">
                    <span class="input-group-addon">报文签名</span>
                    <input class="form-control" type="text"  name="sign" id="sign" required>
                </div>
            </div>
        </div>
        <div class="row">
            <div class="form-group col-lg-3">
                <div class="input-group">
                    <input type="submit" name="提交"/>
                </div>
            </div>
        </div>
    </div>
    </div>
</form>
<script>
    // $("#generatetime").datepicker({
    //     language: 'zh-CN', //语言
    //     autoclose: true, //选择后自动关闭
    //     clearBtn: true,//清除按钮
    //     format: "yyyy-mm-dd"//日期格式
    // });
    $("input[name='generatetime']").datetimepicker({
        language : 'zh-CN', // 语言
        autoclose : true, //  true:选择时间后窗口自动关闭
        format : 'yyyy-mm-dd hh:mm:ss', // 文本框时间格式，设置为0,最后时间格式为2017-03-23 17:00:00
        todayBtn : true, // 如果此值为true 或 "linked"，则在日期时间选择器组件的底部显示一个 "Today" 按钮用以选择当前日期。
        todayHighlight: 1,//今天高亮
    })
</script>

</body>
</html>